HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF11
Building
2300 Vi°
Phone:
PERM
LE INFO MUST BE COMPUTED FOR APPLICATION TO BE ACCEPTED
Permit Numb_
. ����
R E CE_, rV i
n MAY V92019
F Building Permit A;lic tion
'Development services SCANNED Permitting Department
Code Regulation Division BY St. Lucie County, FL
r Avenue, Fort Pierce FL 34982 $t- Lucie County
!) 462-1553 Fax: (772) 46271578 Commercial Residential nwc/
TYPE:
Address ,� Ce F) r 0- ` 0
Propert Tax ID # 3 '� 69 a3 6 b d 0 5 Lot No.
Site Pla Name: Block No.
Projectlame:
r4 .
Additl nal work to be performed under this permit - check all that`'apply' A
Mechanical Gas Tank —Gas Piping <Shutters _ Windows/Doors
Electric — Plumbing — Sprinklers a' Generator +%Roof Pitch
Total q. Ft of Construction: ° 0C S G. �� Sq. Ft. ;bffirst`Floor:
Cost ,I f Construction: $ �2 ) Q 0 b o o Utilities: —Sewer ^'rseptic Building Height:
flUNER LESSEE. g
°T
ACT° flNTR Ft
Na GQ rb c� r a u 1 'z-
Name:
Ad II ress: (o Flo (-k r ClLfDaQ -,be S I
Company:
Cit State: F-
Address:
Zi Code: 6�5 LA Ct Z Fax:
City: State:
P 'pne Now S �G g o b
Zip Code: Fax:
E- II ail: 1 a-m-1065 I $Ka o � � �b'�"`�
Phone No
Fi I in fee simple Title Holder on next page ( if different
E-Mail
fr m the Owner listed above)
State or County License
If v lue of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
W
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as iridicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. I I
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for'
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Sig ature.of._Owner/ Lessee/Contractor as A
nt r O
r
Signature of Contractor/License Holder
STATE OF FLORID
m
STATE OF FLORIDA III
COUNTY OF
COUNTY OF
• `
The forgoing instrument was acknowledg d
The forgoing instrument was acknowledged before me
this /S day of 20
—
this day of 20_ by
_ 10 9MnP=4 r-A4, )
\
N9Ke of person making statement.
o;
Name of person making statement.
Personally Known OR Produced Ide , i °r
Personally Known OR Produced Identification
Type of Ide ti ' ti n
Type of Identification
Produced i'1C
oil
Produced
(Signature of Not Public- State of F orid
(Signature of Notary Public -.State of Florida )
Commission No. (Seal)
Commission No. (Seal),c.,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW_
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. y/Z0/10
ALL AF
Date:
Building
2300 Vit
Phone:
\BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED to t2� )
��j) Permit Nu Q M-0
C E W,
.� Building Permit Application JUL 10 2018
d Development Services Permitting Department
I Code Regulation Division y
a Avenue, Fort Pierce FL 34982 St. LUCIe County, FL-
2) 462-1553 Fax: (772) 462-1578 Commercial R eSl e- -nf la
PERMI, AP ICATION FOR: To Select from dropbox, click arrow at the end of line
'PROP 'SE'D-IM ,:.�,:
Address:il
6306 Arapahoe Street Fort Pierce FL 34982
Legal De
cription: RIVER LE YACHT CLUB ESTATES -UNIT 2 BLK 8 LOTS 6 7 8 AND 9
Ii
(OR 575- 36, 1139, 1140, 1141, 1142: 1372-1166: 1384-2841, 2842, 2843)
Propert
Site Pla
Tax ID #: 3409-703-0 6-000-5 Lot No.
Name: Block No.
rrolect came:
Setbac Is Front Back: Right Side: Left Side:
D.ETA[LED DESCRIPTION OF, WORK:
., .:.�,,.; ,:..... > :.. _�-.. m. ';4 _. •._„c'.,.�:.�....,a. '.�.:. ,K,-"'.. •.., i7�... ,,. :ba,'�'Y tc .Hr � ,r:--c'c.-.,�ht, -:off _ ,.,;r� --
IIRe-Roof existing shingle roof with removing a gting shingles and
r placing with 5v Metal.
CON �fRU,CTION INFORMAL -ION.
_ ., ,_ ........v. _.. 4,. . a,. _.,,__.Additionaa wor to be e orme under thispermit— c ec a a
VAC Gas Tank ❑Gas Piping _ Shut rs I] Windows/Doors
lectric � Plumbing Sprinklers Generat Roof 4i12 Roof pitch
Total 1. Ft of Construction: 3500 S . Ft. of First Floor:
Cost of Construction: $ 19,0000.00 Utilities: Sewer SE
Building Height: 13
VOW
ER/LESSEE ' fi
CONTRACTOR
Nam
it �(� 4 nvno f—I
O -7—
Name: Steven Drake Marston J
Addr
c' h�
Company:•,City:
Zls:(IeW
'� State: c
Zip Cede-3 c), FFa/x:,c�
PhonNo.Y V 7
E-M Ilil:
Address: 6306 Arapahoe Street, Fort Pierce, FL 34982
City: Fort Pierce State: FI
Zip Code: 34983 Fax:
Phone No. 772-201-8316
Fill i
from
fee simple Title Holder on next page (if different
he Owner listed above)
E-Mail: mreservicesfl@gmail.com
State or County License: CCC 1330490
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
t
.:
SIJPPLEMENTAL,CONSTRUCTT0
i�,
LIEN LAW IN,FORM'RTfON .�. v'; , .r. .t �.,.. .:,C •..: > >. is .-� . .�..�'. ..-.; _cs ..e �r
DESIGNER/ENGINEER:
Nam
_ Not Applicable
:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
State:
City: State:
City: ��
Zip: I
Phone
Zip: Phone:
FEE S
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
IMPLE
Nam
Name:
Addr
Address:
ss:
City:
City:
Phone:
Zip: Phone:
Zip: 'I
OWN / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi that no work or installation has commenced prior to the issuance of a permit. .
St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu IIe. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons tleration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco'dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. l
The foI Awing building permit applications are exempt from undergoing a full concurrency review: room additions,
access Iry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr l' ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor' the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com �encin work or recording our Notice of Commencement.
II
Sign ture of Owner/ Lessee Contracto s Agent for Owner
Signature o Contractor icense Holder
STA I E OF FLORIDA
STATE OF '
CO OF S
COUNTY OF S ("�
INTY
The r ng instrument as acknowledged before me
this day of 20- by
The g instrument as acknowledge efore me
this day of 20�by
Per.
Name of perso making statement
tonally Known OR Produced Identification
Name of per making statement
Personally Known A OR Produced Identification
Typ
of Identification
Type of Identification
Produced
Produced
(Si
Co
i ature • - too I ida)
�, ,• CHERYL A HOTT
missic .�: �yljtTH
ION # 0GO90400
EXPIRES April 04, 2021
(Signature of Not i -
:il" :•,,; CHERYL A HOTTENSMITH f
Commission No. = t,= OOMgglgdbiloGQ090400
EXPIRES April 04; 2021',<
•'' •4!, .
R
VIEWS
FRONT
COUNTER
ZONING'
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW_ REVIEW
DA E
RE EIVED
DA E
COMPLETED
Rev. 1/2/17